Provider Demographics
NPI:1568497709
Name:LIVINGSTON, ERIKA PAULETTE (RN, CSA)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:PAULETTE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:RN, CSA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3003 W GOOD HOPE RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-2042
Mailing Address - Country:US
Mailing Address - Phone:414-352-3100
Mailing Address - Fax:262-387-8282
Practice Address - Street 1:12203 CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3388
Practice Address - Country:US
Practice Address - Phone:262-387-8300
Practice Address - Fax:262-387-8282
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL03173174400000X
246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No174400000XOther Service ProvidersSpecialist